Marc Schluep1, Saskia Rijkenberg2, Robert Jan Stolker3, Sanne Hoeks4, Henrik Endeman5. 1. Department of Intensive Care Medicine, OLVG, Amsterdam, the Netherlands; Department of Anesthesiology, Erasmus University Medical Centre, Rotterdam, Netherlands. Electronic address: m.schluep@erasmusmc.nl. 2. Department of Intensive Care Medicine, OLVG, Amsterdam, the Netherlands. Electronic address: s.rijkenberg@olvg.nl. 3. Department of Anesthesiology, Erasmus University Medical Centre, Rotterdam, Netherlands. Electronic address: r.stolker@erasmusmc.nl. 4. Department of Anesthesiology, Erasmus University Medical Centre, Rotterdam, Netherlands. Electronic address: s.hoeks@erasmusmc.nl. 5. Department of Intensive Care Medicine, OLVG, Amsterdam, the Netherlands; Department of Intensive Care Medicine, Erasmus University Medical Centre, Rotterdam, Netherlands. Electronic address: h.endeman@erasmusmc.nl.
Abstract
PURPOSE: Little is known about long-term survival after In-Hospital Cardiac Arrest (IHCA). The purpose of this study is to report the one-year survival of patients after IHCA and to identify predicting factors. METHODS: Single-center retrospective study of all adult in-hospital CPR attempts conducted between 2003 and 2014 in a tertiary teaching hospital. Demographic and clinical variables of patients were obtained at 24 h pre-arrest, during CPR and post-CPR. All patients were tracked one year after discharge from hospital. RESULTS: CPR was performed for IHCA on 417 patients. Return of spontaneous circulation (ROSC) was achieved in 283 (68%) patients, 234 were admitted to ICU. Overall, 95 (23%) patients survived one year after discharge, The survival rate of patients who were admitted to ICU after IHCA was 38% (89/234) at hospital discharge and 26% (61/234) at one year. Univariate analysis showed numerous variables are associated with one-year survival, for example comorbidity index and time to ROSC. DISCUSSION: One-year survival of patients admitted to the ICU after IHCA was 26%. Severity of disease pre-arrest and at ICU-admission could prove useful in prognostication. No multivariate model could be constructed and large prospective studies are needed to elicit the role of pre-arrest factors on survival.
PURPOSE: Little is known about long-term survival after In-Hospital Cardiac Arrest (IHCA). The purpose of this study is to report the one-year survival of patients after IHCA and to identify predicting factors. METHODS: Single-center retrospective study of all adult in-hospital CPR attempts conducted between 2003 and 2014 in a tertiary teaching hospital. Demographic and clinical variables of patients were obtained at 24 h pre-arrest, during CPR and post-CPR. All patients were tracked one year after discharge from hospital. RESULTS: CPR was performed for IHCA on 417 patients. Return of spontaneous circulation (ROSC) was achieved in 283 (68%) patients, 234 were admitted to ICU. Overall, 95 (23%) patients survived one year after discharge, The survival rate of patients who were admitted to ICU after IHCA was 38% (89/234) at hospital discharge and 26% (61/234) at one year. Univariate analysis showed numerous variables are associated with one-year survival, for example comorbidity index and time to ROSC. DISCUSSION: One-year survival of patients admitted to the ICU after IHCA was 26%. Severity of disease pre-arrest and at ICU-admission could prove useful in prognostication. No multivariate model could be constructed and large prospective studies are needed to elicit the role of pre-arrest factors on survival.
Authors: Meena Thuccani; Araz Rawshani; Kristofer Skoglund; Niklas Bergh; Per Nordberg; Malin Albert; Annika Rosengren; Johan Herlitz; Christian Rylander; Peter Lundgren Journal: Resusc Plus Date: 2022-08-12
Authors: Esther N van der Zee; Jelle L Epker; Jan Bakker; Dominique D Benoit; Erwin J O Kompanje Journal: J Intensive Care Med Date: 2020-08-13 Impact factor: 3.510